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骨瘤:一过性黑矇的罕见病因。

Osteoma: an unusual cause of amaurosis fugax.

作者信息

Wilkes S R, Trautmann J C, DeSanto L W, Campbell R J

出版信息

Mayo Clin Proc. 1979 Apr;54(4):258-60.

PMID:423606
Abstract

A 16-year-old white boy presented with a history of amaurosis fugax associated with an afferent pupillary defect, proptosis, discomfort of the left eye. Tomograms of the skull and of the orbit revealed a lobulated 4-cm ivory osteoma arising from the left ethmoid sinus and extending into the maxillary sinus and left orbit. After surgical extirpation, visual acuity returned to normal and the papilledema resolved after 4 months. This patient is 1 of 37 patients with osteoma of the paranasal sinuses or of the orbit (or of both) who underwent surgical treatment at the Mayo Clinic between the years 1948 and 1977. Twelve of these patients had orbital involvement, and only these patients had ocular signs and symptoms.

摘要

一名16岁白人男孩,有发作性黑矇病史,伴有传入性瞳孔障碍、眼球突出及左眼不适。头颅和眼眶断层照片显示,一个分叶状的4厘米象牙样骨瘤,起源于左侧筛窦,延伸至上颌窦和左侧眼眶。手术切除后,视力恢复正常,4个月后视乳头水肿消退。该患者是1948年至1977年间在梅奥诊所接受手术治疗的37例鼻窦或眼眶(或两者皆有)骨瘤患者之一。其中12例患者眼眶受累,只有这些患者有眼部体征和症状。

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引用本文的文献

1
Giant spheno-ethmoidal osteoma in a 14-year boy presenting with visual impairment and facial deformity: Short review.一名14岁男孩患有巨大蝶筛骨瘤并伴有视力障碍和面部畸形:简短综述。
J Pediatr Neurosci. 2015 Jan-Mar;10(1):48-50. doi: 10.4103/1817-1745.154340.
2
Giant osteomas of the ethmoid and frontal sinuses: Clinical characteristics and review of the literature.筛窦和额窦巨大骨瘤:临床特征及文献综述
Oncol Lett. 2013 May;5(5):1724-1730. doi: 10.3892/ol.2013.1239. Epub 2013 Mar 8.
3
Osteoma of the paranasal sinuses.鼻窦骨瘤
Indian J Otolaryngol Head Neck Surg. 2003 Jul;55(3):166-9. doi: 10.1007/BF02991944.
4
Update on bone forming tumors of the head and neck.头颈部骨形成性肿瘤的最新进展。
Head Neck Pathol. 2007 Sep;1(1):87-93. doi: 10.1007/s12105-007-0023-4. Epub 2007 Nov 27.
5
Endonasal ethmoidectomy and bifrontal craniotomy with craniofacial approach for resection of frontoethmoidal osteoma causing tension pneumocephalus.经鼻筛窦切除术及双额开颅颅面联合入路切除导致张力性气颅的额筛骨瘤。
Skull Base. 2008 Jan;18(1):67-72. doi: 10.1055/s-2007-993046.
6
[Gaze-evoked amaurosis fugax].[注视诱发的一过性黑矇]
Ophthalmologe. 2006 Dec;103(12):1044-6. doi: 10.1007/s00347-006-1385-9.
7
Gaze-evoked amaurosis heralding orbital angiomyoma. Case report.
Ital J Neurol Sci. 1997 Feb;18(1):31-4. doi: 10.1007/BF02106227.